- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05849051
Little Cigar and Cigarillo Warnings Among US Adults Who Use LCCs
Little Cigar and Cigarillo Warnings to Reduce Tobacco-Related Cancers and Disease: Randomized Controlled Trial Among US Adults Who Use LCCs
Study Overview
Status
Conditions
Detailed Description
In this study, LCC warnings on packs will be electronically presented to participants over time to determine if newly developed LCC warnings increase quit intentions compared to FDA-proposed text-only warnings and a control condition (in which participants do not see LCC packs or warnings.) A daily diary methodology will be employed to present LCC warnings on packs to participants over time. Qualtrics will contact, screen, consent, and administer the survey. To enroll participants, Qualtrics will screen participants using the inclusion criteria and measures and invite eligible participants to enroll in the study. To collect at least 750 quality completes the investigators anticipate enrolling up to 3,000 people.
At the beginning of the baseline survey (day 0), participants will first consent to participate in the study and then complete a questionnaire about their tobacco use and behaviors (e.g., intentions and quit attempts) and other measures of interest. At the end of the baseline questionnaire, survey software will randomly assign participants to one of the 3 study conditions. The three study conditions are 1) Newly developed warnings with images (the six most effective warnings developed by the study team), 2) FDA-proposed text-only warnings, or 3) control condition in which participants will not receive an intervention (no warnings). Participants will be contacted via email each day (at approximately 6 am) to invite them to complete the survey for that day of the study protocol.
For subsequent days (days 1-6, 8-13, 15-20) participants will be contacted and asked to complete a daily survey which will assess their previous day use of LCCs, as well as cigarettes and e-cigarettes. During these daily surveys, participants assigned to condition 1 or 2 (i.e., the warning conditions) will view an image of a little cigar and cigarillo package with a warning according to the participant's condition. Participants within each warning condition will view a total of 6 different warnings over the course of 6 days each week, this will be repeated 3 times during the study, resulting in a total of 18 exposures. Participants will be required to view the warning for at least 5 seconds before answering questions.
On days 7 and 14 participants will be asked to complete a slightly longer survey with questions about their LCC behaviors including the number of LCCs used in the past week, the number of LCCs butted out because they wanted to smoke less, the number of LCCs forgone, other tobacco use, blunt use, and quit intentions and attempts.
For the post-test on day 21, participants will be asked to complete a longer questionnaire about their current tobacco use and behaviors including current LCC smoking behavior, LCC nicotine dependence, other tobacco product (OTP) use, LCC and OTP quit intentions, and LCC and O
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Adam O Goldstein, MD, MPH
- Phone Number: 984-974-4647
- Email: adam_goldstein@med.unc.edu
Study Contact Backup
- Name: Kristen L Jarman, MSPH
- Phone Number: 919-966-3016
- Email: jkristen@email.unc.edu
Study Locations
-
-
North Carolina
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Chapel Hill, North Carolina, United States, 27599
- University of North Carolina at Chapel Hill
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Members of the recruitment panel (the investigators are partnering with a panel provider for recruitment of all participants)
- Agree to provide their honest answers
- Current little cigar and/or cigarillo every day or some day users
- Over 21 years old
- Currently living in US
- Feel comfortable taking a survey in English without help
- Feel comfortable taking an online survey without help
- Have an email address that they check regularly
- Have access to the internet at work or home
- Able to read and respond to surveys delivered to their email
- Able to complete 2 surveys that take approximately 20 minutes
- Able to complete a 5 minute survey each day for 20 days
- Able to verify they are not a bot using CAPTCHA
- Able to answer a simple, random math question
Exclusion Criteria:
- None
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Newly developed warnings with images
Participants receive newly developed warnings intervention
|
On study days 1-6, 8-13 and 15-20, participants in this condition will view an image of a little cigar and cigarillo package with a warning developed by the study team that includes an image.
The warnings will take up 30% of the package.
Participants will view a total of 6 different warnings over the course of 6 days each week, this will be repeated 3 times during the study, resulting in a total of 18 exposures.
Participants will be required to view the warning for at least 5 seconds.
|
Experimental: FDA proposed text-only warnings
Participants receive FDA proposed text only warning intervention
|
On study days 1-6, 8-13 and 15-20, participants in this condition will view an image of a little cigar and cigarillo package with a warning proposed by the FDA which is text only.
The warnings will take up 30% of the package.
Participants will view a total of 6 different warnings over the course of 6 days each week, this will be repeated 3 times during the study, resulting in a total of 18 exposures.
Participants will be required to view the warning for at least 5 seconds.
|
No Intervention: Control group, no intervention
Participants do not receive an intervention
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
LCC quit intentions
Time Frame: day 21 (post test)
|
Average quit intention score measured by survey.
Quit intention measured with 3 questions, the final quit intention score is a mean of the response to the 3 questions, on a scale of 1 to 4, where 1 indicates low intention to quit, and 4 indicates a high intention to quit.
|
day 21 (post test)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of LCCs smoked in past day
Time Frame: day 1
|
Measured by survey
|
day 1
|
Number of LCCs smoked in past day
Time Frame: day 2
|
Measured by survey
|
day 2
|
Number of LCCs smoked in past day
Time Frame: day 3
|
Measured by survey
|
day 3
|
Number of LCCs smoked in past day
Time Frame: day 4
|
Measured by survey
|
day 4
|
Number of LCCs smoked in past day
Time Frame: day 5
|
Measured by survey
|
day 5
|
Number of LCCs smoked in past day
Time Frame: day 6
|
Measured by survey
|
day 6
|
Number of LCCs smoked in past day
Time Frame: day 7
|
Measured by survey
|
day 7
|
Number of LCCs smoked in past day
Time Frame: day 8
|
Measured by survey
|
day 8
|
Number of LCCs smoked in past day
Time Frame: day 9
|
Measured by survey
|
day 9
|
Number of LCCs smoked in past day
Time Frame: day 10
|
Measured by survey
|
day 10
|
Number of LCCs smoked in past day
Time Frame: day 11
|
Measured by survey
|
day 11
|
Number of LCCs smoked in past day
Time Frame: day 12
|
Measured by survey
|
day 12
|
Number of LCCs smoked in past day
Time Frame: day 13
|
Measured by survey
|
day 13
|
Number of LCCs smoked in past day
Time Frame: day 14
|
Measured by survey
|
day 14
|
Number of LCCs smoked in past day
Time Frame: day 15
|
Measured by survey
|
day 15
|
Number of LCCs smoked in past day
Time Frame: day 16
|
Measured by survey
|
day 16
|
Number of LCCs smoked in past day
Time Frame: day 17
|
Measured by survey
|
day 17
|
Number of LCCs smoked in past day
Time Frame: day 18
|
Measured by survey
|
day 18
|
Number of LCCs smoked in past day
Time Frame: day 19
|
Measured by survey
|
day 19
|
Number of LCCs smoked in past day
Time Frame: day 20
|
Measured by survey
|
day 20
|
Number of LCCs smoked in past day
Time Frame: day 21 (post test)
|
Measured by survey
|
day 21 (post test)
|
Number of days smoked LCCs in past week
Time Frame: day 7
|
Measured by survey
|
day 7
|
Number of days smoked LCCs in past week
Time Frame: day 14
|
Measured by survey
|
day 14
|
Number of days smoked LCCs in past week
Time Frame: day 21 (post test)
|
Measured by survey
|
day 21 (post test)
|
Number of LCCs smoked in the past week
Time Frame: day 7
|
Measured by survey
|
day 7
|
Number of LCCs smoked in the past week
Time Frame: day 14
|
Measured by survey
|
day 14
|
Number of LCCs smoked in the past week
Time Frame: day 21 (post test)
|
Measured by survey
|
day 21 (post test)
|
Number of LCCs butted out in the past week
Time Frame: day 7
|
Measured by survey
|
day 7
|
Number of LCCs butted out in the past week
Time Frame: day 14
|
Measured by survey
|
day 14
|
Number of LCCs butted out in the past week
Time Frame: day 21 (post test)
|
Measured by survey
|
day 21 (post test)
|
Number of LCCs forgone in the past week
Time Frame: day 7
|
Measured by survey
|
day 7
|
Number of LCCs forgone in the past week
Time Frame: day 14
|
Measured by survey
|
day 14
|
Number of LCCs forgone in the past week
Time Frame: day 21 (post test)
|
Measured by survey
|
day 21 (post test)
|
LCC quit attempts in past week
Time Frame: day 7
|
Measured by survey
|
day 7
|
LCC quit attempts in past week
Time Frame: day 14
|
Measured by survey
|
day 14
|
LCC quit attempts in past week
Time Frame: day 21 (post test)
|
Measured by survey
|
day 21 (post test)
|
LCC quit intentions
Time Frame: day 7
|
Average quit intention score measured by survey.
Quit intention measured with 3 questions, the final quit intention score is a mean of the response to the 3 questions, on a scale of 1 to 4, where 1 indicates low intention to quit, and 4 indicates a high intention to quit.
|
day 7
|
LCC quit intentions
Time Frame: day 14
|
Average quit intention score measured by survey.
Quit intention measured with 3 questions, the final quit intention score is a mean of the response to the 3 questions, on a scale of 1 to 4, where 1 indicates low intention to quit, and 4 indicates a high intention to quit.
|
day 14
|
Self reported learning
Time Frame: day 21 (post test)
|
Measured by survey.
Self-reported learning measured with one item on a 1 to 5 scale, where 1 indicates no learning, and 5 indicates a great deal of learning from the warnings in the study.
Self reported learning is only measured in conditions 1 and 2, the conditions that receive warnings.
|
day 21 (post test)
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Adam O Goldstein, the University of North Carolina (UNC) Department of Family Medicine
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- 22-2531
- R01CA240732 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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